Loma View Pediatric Medical Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G49014 Issued in CA

Legal business name

LOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.

Practice address

1684 Plum LN
Ste 101
Redlands, CA 92374-4596

Phone

(909) 475-5800

Fax

(909) 475-5805

NPI assigned

Apr 4, 2007

Last updated

Jul 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ernesto Cruz, M.D.NPI 1124001888

Title

President

Phone

(909) 475-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernesto Cruz, M.D.

  • Pediatrics Physician
  • Redlands, CA
  • NPI 1124001888
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1902928393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 PLUM LN",
            "address_2": "STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744596",
            "telephone_number": "909-475-5800",
            "fax_number": "909-475-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 PLUM LN",
            "address_2": "STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744596",
            "telephone_number": "909-475-5800",
            "fax_number": "909-475-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-475-5800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G49014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loma Linda University Medical Center
• Loma Linda University Medical Center
• Loma Linda University Radiology Medical Group, Inc.
• Loma Linda Vamc
• Loma Linda Vamc
• Loma View Redlands Pediatric Medical Clinic
• Alba Lomeli
• Ashley Lopez
• Cathleen Lopez, MS
• Erin Lopez

• Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.